PUD/GERD Meds Flashcards
Histamine 2 Blockers
famotidine (Pepcid)
Histamine 2 Blockers Action
blocks H2 receptors in stomach; decreases secretion of gastric acid
GERD symptoms
heals and prevents ulcers
Histamine 2 Blockers SE
HA
n/v/c
drowsiness
dizziness
impotence
loss of libido
gynecomastia
decreased B12 absorption
Histamine 2 Blockers ADE
dysrhythmia
agranulocytosis
aplastic anemia (monitor EKG/CBC)
Histamine 2 Blockers Nursing Interventions
take before meals or at bedtime
may take 1-2 weeks to be effective; avoid using more than 2 weeks
most available OTC
avoid smoking
eat foods high in B12
watch for confusion in older adults
male specific SE are reversible
Proton Pump Inhibitors
omeprazole (Prilosec)
pantoprazole (Protonix)
Proton Pump Inhibitors Action
blocks secretion of gastric acid by inhibiting hydrogen and potassium ATPase
Proton Pump Inhibitors SE
diarrhea
constipation
gas
drowsiness
dizziness
Proton Pump Inhibitors ADE
allergic reaction
osteoporosis related bone fractures
blood disorders
B12 deficiency
long term use may lead to gastric cancer/infections
Proton Pump Inhibitors Nursing Interventions
used for limited time periods, used when H2 blockers don’t work
take 30 min. before meals, preferably in the morning
assess for black tarry stools; diarrhea, abdominal pain and persistent HA
take for 4-8 weeks
Antacids
magnesium hydroxide (Milk of Magnesia) DIARRHEA
aluminum hydroxide (amphogel) CONSTIPATION
calcium carbonate (TUMS) CONSTIPATION
Antacids Action
neutralize acidity of stomach contents
Antacids Nursing Interventions
can impair absorption of other drugs (oral); check drugs pt is taking
if more than 2 weeks of therapy, notify prescriber
drink at least 2 oz of water to make sure it reaches stomach
monitor electrolytes, urinary pH, Ca and phosphate lvls
don’t give to kids unless approved to
avoid aluminum containing drugs with bone problems in elderly and Alzheimer’s
Cytoprotectant Drugs
sucralfate (Carafate)
Cytoprotectant Drugs Action
forms a thick coating on open sores to protect from acid and pepsin
Cytoprotectant Drugs SE
constipation
Cytoprotectant Drugs Nursing Interventions
take as directed, even when feeling better
constipation teaching
taken at least 30 min. before meals or at bedtime (HS)
don’t give bismuth subsalicylate to kids due to aspirin
Promotility Drugs (GERD/PUD)
metoclopramide (Reglan)
same as nvdc
Promotility Drugs Action (PUD/GERD)
speed up emptying time of stomach; blocks dopamine 2 receptors to increase motility
Promotility Drugs Nursing Interventions (PUD/GERD)
give 30 min. before meals for 4-12 weeks
